Wild Apple Eye II LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WILD APPLE EYE II LLC

Practice address

163 Broadway St
Colchester, CT 06415-1022

Phone

(860) 537-2020

NPI assigned

Dec 30, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nicholas Paradis, ODNPI 1093243321

Title

Owner

Phone

(860) 391-3366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Anthony Paradis, OD

  • Optometrist
  • Centerbrook, CT
  • NPI 1093243321
  Medicare reassignment Care Compare group NPD Authorized official
• Thomas Dempsey, O.D.

  • Optometrist
  • Colchester, CT
  • NPI 1760405542
  Medicare reassignment Care Compare group NPD
• Natalia Pisklak

  • Optometrist
  • Colchester, CT
  • NPI 1033730064
  Medicare reassignment Care Compare group NPD
• Alexandra Anna Sadanowicz, O.D.

  • Optometrist
  • Colchester, CT
  • NPI 1427308105
  Medicare reassignment Care Compare group NPD
• Nicholas Paul Vezzoli, OD

  • Optometrist
  • Old Saybrook, CT
  • NPI 1194249722
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1174283246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151022",
            "telephone_number": "860-537-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151022",
            "telephone_number": "860-537-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD APPLE EYE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "PARADIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-391-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Wengloski, PTA
• Westchester Eye Care
• Westchester Family Dental
• Louise M Wickham, NP
• Carol Wierzbinski Wikarska, LMT
• Wildwood Wellness
• Charlene Ann Willax, RN
• Julie Danielle Willing, LCSW
• Kevin Neal Winicki, RPH
• Nicholas E. Wisniewski, O.D.

• Optometrist in Colchester, CT
• Providers in Colchester, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.